ATI RN
NCLEX Questions Skin Integrity and Wound Care Questions
Question 1 of 5
On which region of the body would the nurse most expect to observe erysipelas?
Correct Answer: B
Rationale: The correct answer is B: Ankles. Erysipelas is a bacterial skin infection typically caused by Streptococcus bacteria. The lower extremities, especially the ankles, are common sites for erysipelas due to factors like compromised circulation and skin trauma increasing susceptibility. Erysipelas presents with well-defined, raised, and erythematous patches on the skin, commonly seen on the lower legs and ankles. The infection usually affects the superficial layers of the skin and subcutaneous tissues, leading to characteristic symptoms such as warmth, pain, and swelling in the affected area. Choices A, C, and D are incorrect as erysipelas typically occurs on the lower extremities rather than the abdomen, neck, or back.
Question 2 of 5
Which oral antiviral drug that is commonly prescribed for influenza A and B works by preventing the release of newly formed virus?
Correct Answer: C
Rationale: The correct answer is C: Oseltamivir (Tamiflu). Oseltamivir is a neuraminidase inhibitor, which works by preventing the release of newly formed virus particles from infected cells. This stops the spread of the virus in the body. Rimantadine and Amantadine (choices A and D) are M2 ion channel blockers that prevent the virus from entering the host cell. Zanamivir (choice B) is also a neuraminidase inhibitor like Oseltamivir, but it is administered via inhalation instead of orally. Therefore, the correct choice is Oseltamivir as it targets the release of newly formed virus particles, distinguishing it from the other options.
Question 3 of 5
A toddler with otitis media is prescribed amoxicillin clavulanate 250 mg/5 mL three times daily by mouth for 10 days. What should the nurse teach the mother about this medication?
Correct Answer: B
Rationale: The correct answer is B: Give the antibiotic for the full 10 days as prescribed. The rationale is as follows: 1. Amoxicillin clavulanate is used to treat otitis media, and completing the full course is crucial to ensure the infection is completely eradicated. 2. Stopping the antibiotic prematurely can lead to antibiotic resistance and treatment failure. 3. Using a household teaspoon (Choice C) is inaccurate and can result in incorrect dosing. 4. Administering a loading dose (Choice D) is not necessary for this medication.
Question 4 of 5
Which intervention should the nurse carry out to manage fever in a client with pneumonia? Select all that apply.
Correct Answer: B
Rationale: The correct answer is B: Administer antipyretic medications. Antipyretics help reduce fever by acting on the hypothalamus to lower the body's temperature set point. This intervention is effective and commonly used in managing fever in pneumonia. Choice A is incorrect as increasing room temperature can worsen the fever. Choice C is incorrect because fluid restriction can lead to dehydration, which is harmful during fever. Choice D is incorrect as using ice packs and tepid baths can cause temperature fluctuations, which are not ideal for fever management.
Question 5 of 5
A nurse is caring for a client with septicemia. What assessment by the nurse best addresses the potential for ineffective peripheral perfusion?
Correct Answer: D
Rationale: The correct answer is D: Monitor for cyanosis. In septicemia, inadequate peripheral perfusion can lead to cyanosis due to decreased oxygen delivery. Cyanosis is a late sign of compromised perfusion. Assessing heart rate (choice A) may indicate changes in cardiac function but does not directly assess peripheral perfusion. Monitoring temperature (choice B) can reveal fever, which is common in septicemia, but does not directly assess perfusion. Checking pupil reactions (choice C) is important but does not specifically address peripheral perfusion. Therefore, monitoring for cyanosis is the most direct way to assess for ineffective peripheral perfusion in a client with septicemia.